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Reg C-L / Reg C-EA Change of Registration Information

MAIL TO: PO BOX 252. REG-C-L STATE OF NEW JERSEY - DIVISION OF REVENUE TRENTON, NJ. (8-05) 08646-0252. REQUEST FOR Change OF Registration Information NO FEE REQUIRED. Use this form to report any Change in filing status, business activity, or to Change your identification Information such as identification number, business and/or trade name, business address, mailing address, etc. DO NOT use this form for a Change in ownership or an incorporation of a busi- ness. A NJ-REG must be completed for these changes. A. CURRENT Information (must be completed to process this form ). FEIN _____. Name _____. Address _____. B. CHANGES TO IDENTIFICATION Information . FEIN - Reason for Change of FEIN _____. Business Name (Corporations authorized by the NJ State Treasurer must file a corporate name Change amendment, pg.)

INSTRUCTIONS BUSINESS CHANGE AND AMENDMENT FORM (REG-C-L and REG-C-EA) I. GENERAL INSTRUCTIONS A. Use the appropriate form for filing: 1. Sole Proprietorships and Partnerships should use Form REG-C-L, Sections A - F to report changes in tax/wage registration, and mail changes to the Division of Revenue, Client Registration Bureau, PO Box

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